{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:52:16Z","timestamp":1787698336231,"version":"build-2784847793"},"reference-count":54,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lymphedema is a chronic and progressive disease whose diagnosis involves determination of clinical and demographic characteristics. The aim of this retrospective study was to analyze the clinical characteristics of patients with lymphedema and their various diagnoses. We studied patients who were referred for physiotherapy services at any point during the years 2009 through 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective data were collected from the files of 430 lymphedema patients. The type, cause, localization, stage, and severity of lymphedema and physiotherapy needs were analyzed and reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Primary and secondary lymphedema were observed in 18 (4.2%) and 412 (95.8%) patients, respectively. The patients' mean body mass index score was 30.66\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . The data indicated that the most common cause of secondary lymphedema was breast cancer and its treatments (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009196, 47.6%). Other causes were chronic venous insufficiency (CVI) (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009140, 34%), lipolymphedema (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200911, 2.7%), and other types of cancers (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200965, 15.7%). According to the affected body regions, 416 patients had unilateral\/bilateral upper and lower extremity lymphedema and 14 had head and neck lymphedema. The patients were followed with a home-based physiotherapy program (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009353, 82.1%) or they underwent treatments through an outpatient program (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200977, 17.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Most patients admitted to the clinic had a diagnosis of breast cancer and CVI. The severity and stages of lymphedema were variable. The data indicated that most patients were followed through a home-based physiotherapy program. These results may set a frame for understanding the treatment and care needs of patients with lymphedema.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lrb.2020.0091","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T20:06:02Z","timestamp":1607112362000},"page":"372-377","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical Characteristics of and Services Provided for Patients with Lymphedema Referred to a Physiotherapy Program During the Years 2009 Through 2019"],"prefix":"10.1177","volume":"19","author":[{"given":"Ilke","family":"Keser","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Cankaya, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadirhan","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Bakircay University, Menemen, Izmir, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burak","family":"Erturk","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Cankaya, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miray","family":"Haspolat","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Cankaya, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tugce","family":"Duman Ozkan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Maltepe, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yagmur","family":"Cam","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hatay Mustafa Kemal University, Antakya, Hatay, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"Sakizli Erdal","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Cankaya, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Esmer","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Cankaya, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buse","family":"Kupeli","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Cankaya, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinem","family":"Suner Keklik","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Sivas Cumhuriyet University, Sivas, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"170","article-title":"The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the International Society of Lymphology","volume":"49","author":"Committee E","year":"2016","unstructured":"Committee E. 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